HomeMy Public PortalAbout10650 FAIRHALL ST_Plumbing__ 76A667 -CE#817 12-64
Cit of Tem le City
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B4915
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION f
LDING
JOHN A LAMBIE COUNTY ENGINEER DRESS 10650 R. Fairhall
COLEMAN W JENKINS, SUPT OF BUILDING CALITY Temple City
FOR APPLICANT TO FILL IN ARESTOSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAIL
BATH TUB 125 ADDRESS TM Same
SHOWER 125 CITYTemple City TEL NO
LAVATORY 125 CONTRACTOR General Installation Co.
SINK 125 ADDRESS 6558 West Blvd.
DISHWASHER 125 CITY Los Angeles TEL NO PL 3-2541
LAUNDRY PUB 125 CONTRACTOR S REGISTRATION NO C+-36 151839 787COUNTY STATE [X
CLOTHES WASHER 1 25 DISTRICT.7 GP O B
WATER HEATER 1 50 `'� T 7 �
C` e9-1
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL �.
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 1INSPECTION RECORD
V
1 Water Softneer 1.50 Ready for Ins eotiork Now
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDF��f�t�IIAL ROPE Y UTILITY CO NOTIFIED /
SIGNATURE C
OF PERMITTEE v 0/
FINAL
ALIDATION ROBERT A WOOD
�` cK M O CASH SUPERVISING MECHANICAL ENG R
LALo1 668,-. APR25 5 D 35004
1
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of CD Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer PLUMBING 1
DISTRICT NO. G OUP O .
FOR APPLICANT TO FILL IN ' A a / ^�46
z/-
PLUMBER '"+"' RE EIVEDI BY FIRREADY FOR
OTION / DATE ISSUED
VALLEY BOULEVARD IPLUI BI
D$
ADDRESS
830U IZAbl VALLEY SM). c BUILDING
ADDRESS
CITY _ TEL No _ _
COUNTY I�la...l`"� - r h I L'L/J.s
LICENSE NO d EXPIRES LOCALITY
~..w� V'JV' NEAREST
PERMIT FEES CROSS ST
c
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) a 050 ADDRESS
BATH TUB 050 CITY _ TEL. No
SHOWER 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) (t$ 0 SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK CSS O 50 AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTI L PROPERTY DEBCRI D ABOVE
GAS SYSTEM OUTLETS ® 050 E T •
SIGNATURE OF
WATER HEATER O SO PERMITTE
SLOP SINK D 513 INSPECTION RECOR I
FLOOR SINK O 50
G.�cG '�a vc
FLOOR DRAIN @ O 50 , f
DISHWASHER 030 -7—.V id ""7— .t.�l�4
DRINKING FOUNTAIN O 50
URINAL 050 -J
Q
HOUSE SEWER a 050 Z
MISCELLANEOUS (3
Fx
O
APPROVALS
DATE INSPEC,T/JOR''% NAME
ROUGH PLUMBING
GAS PIPING 6_
GAS VENT 1 j
CESSPOOL @ 1 00 CESSPOOL {IQ— /
t 9 � [
SEPTIC TANK SEPTIC TANK Yl 1 f� Ii -31
DRAIN ( ) PIT ( ) @ 1 DO SEWER .11 A 'L✓1�v{'
PERMIT 1 DD GAS TEST
TOTAL FEE UTILITY CO NOTIFIED
� a
FINAL
76A667 DBS$ 17 6-52 v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1011220030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
ITR 19189 LT 10 1 J 10650 FAIRHALL ST
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804120 J
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET PAL MAL
18585-027-005 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, Cl
1 126 MISCELLANEOUS FIXTUR 1 00 FIX 16 30 I 1
ITENANT I TOTAL FEES 44 10 (ISSUED ON PROCESSED BY PLAN BY
1 1 111/23/10 SR
I
(OWNER TEL NO I IFINAL DAFINA Y�l/ CODE 1
DAVIS WILLIAM (626) 443-4986- 1 `1 "
10650 FAIRHALL ST
ITEMP 917804120 1 IDES IPTIO OF WORK J
ICLEANOUT INSTALLATION
I
(APPLICANT TEL NO J t
JARS RESCUE ROOTER (626) 858-9284-
1475 E ARROW HWY ( ISPECIAL CONDITIONS
JAZUSA, CA
I I I I
ICONTRACTOR TEL NO I JAPPROVALS DATE INSPECTOR SIGNATURE I
JA R S RESCUE ROOTER (626) 858-9284- J 1 1
1475 E ARROW KWY LIC NO I (UNDER SLAB WORK I I I
JAZUSA CA 91702 765155 C36 1 I 1 1 1
1 1 IWATER SERVICE I 1 1
1 1 IPLASTIC YIN METAL YIN
JARCHITECT OR ENGINEER TEL NO I I I I I
1 - I TROUGH PLUMBING J 1 I
LIC NO 1
J IGAS PIPING 1
1 1 IGAS VENT 1 J 1
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I I IPLUMBING FIXTURES 1 J 1
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